Call our 24/7 advice line for health care professionals and families if you need support with symptom management and end of life care - 01284 766133.

Overarching principles of palliative care feedback

Please help us improve our online education sessions by providing feedback.

Be honest with us, we pride ourselves on listening.

Please offer positives, so we know what to keep!

Title*
Name*
First Last
Email*
Your job role
Your organisation
What date did you attend this training session?

Day
Month
Year
Was the content of the session relevant to your job role?
Was the content of the session pitched to your level?
Which part of session did you find most useful? And how will you be able to put this into practice in your work setting?
How could we improve delivery of the session in the future?
Would you like to make a donation to support the work of the Hospice?
Any donations towards our work are gratefully received. Thank you.
- Yes, I'd like to make a donation
Donation amount
Gift Aid: Boost your donation by 25p of Gift Aid for every £1 you donate
Gift Aid is reclaimed by the charity from the tax you pay for the current tax year. Your address is needed to identify you as a current UK taxpayer.
In order to Gift Aid your donation you must tick the yes box below:*
- Yes, I want to Gift Aid my donation and any donations I make in the future or have made in the past 4 years to St Nicholas Hospice Care. I am a UK taxpayer and I understand that if I pay less Income and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in the relevant tax year, it is my responsibility to pay any difference.
- No
I am a UK taxpayer and I understand that if I pay less Income and /or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in the relevant tax year, it is my responsibility to pay any difference.

Please notify the charity if you:
- want to cancel this declaration

- change your name or home address

- no longer pay sufficient tax on your income and/or capital gains

If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HM Revenue and Customs to adjust your tax code.
Total
£ 0.00
Address*
Street Address Address Line 2 City County Post code Country
Credit Card*
Card Details
Cardholder Name
Protecting your data
St Nicholas Hospice Care will only ever use your data in relevant and meaningful ways to you.
You can learn more about data protection and change your preferences at www.stnicholashospice.org.uk/yourdata.
CAPTCHA
Phone
This field is for validation purposes and should be left unchanged.

Your Experience survey

Overarching principles of palliative care feedback

Please help us improve our online education sessions by providing feedback.

Protecting your data

Share

Call 24hr